NPI | 1154342962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI MD-19609) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 37129) |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A49889) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-08-13 |